What are the responsibilities and job description for the Coordinator population position at Upward Health?
Population Health CoordinatorUpward Health is a home-based medical group specializing in primary medical and behavioral care for individuals with complex needs.
A high number of candidates may make applications for this position, so make sure to send your CV and application through as soon as possible.
We serve patients throughout their communities, and we diagnose, treat, and prescribe anywhere our patients call home.
We reduce barriers to care such as lengthy delays due to scheduling.
We see patients when they need us, for as much time as they need, bringing care to them.
Beyond medical supports, we also assist our patients with challenges that may affect their health, such as food insecurity, social isolation, housing needs, transportation and more.
It is no wonder 98% of patients report being fully satisfied with Upward Health!Upward Health provides technology-enabled, integrated, and coordinated care delivery services that improve outcomes and reduce costs for patients with severe behavioral health diagnoses and co-morbid, chronic physical conditions.
We are not your typical medical practice.
At Upward Health, we see every day as an opportunity to make a difference in our patients' lives.
We could tell you about our outcomes and patient satisfaction ratings.
We could tell you about our commitment to our mission.
Or you could join us and experience it all for yourself.WHY IS THIS ROLE CRITICAL?The Population Health Coordinator is a key member of the Centralized Operations Team and works within a multidisciplinary team of licensed and unlicensed staff who provide direct support and care to Upward Health’s patients.
The Population Health Coordinator is a remote role, responsible for the direct telephonic care of assigned potentially rising-risk patients and provides continuity of care by addressing access to care needs and supports closing gaps in care.
This role is responsible for linking patients with primary care, specialty care and behavioral health services and provides a network wide focus to the coordination and management of the patient population.
In addition, the Population Health Coordinator is responsible for supporting care utilization campaigns that encourage patients to complete annual well visits, get routine screenings, and focus on chronic disease self-management.
Work collaboratively with Network Development and Quality to develop campaigns addressing gaps in care / HEDIS metrics, monitor patient compliance with campaigns and provide feedback and adjustment as needed to ensure success.
Responsible for reporting and analysis of patient data and programmatic outcomes.Collaborate with Triage Nurse in supporting coordination needs for RPM patients with negative trends, connecting patients to resources as required.
Develop a relationship of safety and trust with transparent communication between the patient, caregivers, and care team.
Identify, acknowledge, and advocate for the needs of the patient.
Participate with other care team members in regular or special meetings.Perform other duties as assigned.
KNOWLEDGE, SKILLS & ABILITIES Interpersonal savvy, with the demonstrated ability to interact with and influence people to establish trust and build strong relationshipsA high sense of urgency and can-do attitude required for a role at a start-up companyStrong organization skills and ability to manage and maintain a personal scheduleAbility to establish priorities and meet deadlines Ability to work independently within a virtual operating environment and as part of a teamExcellent oral and written communication skillsAbility to conduct written and oral instructionsAbility to exercise judgment in the application of professional services REQUIRED QUALIFICATIONSDemonstrated expertise in care management and coordination across all healthcare providers, patient, and caregiversExperience with completing real-time documentation in EHR and / or Care Management systemsAbility to effectively communicate across a multitude of key care partnersAbility to motivate patients and caregivers to follow care plans and optimize self-care potentialExcellent documentation skills with the ability to manage multiple patient casesSound critical thinking to assess, analyze and monitor programmatic outcomesComputer literacy and ability to effectively communicate within the business structure PREFERRED QUALIFICATIONSBachelor’s or Master’s degree in public health or related field preferred2 years of care management / population health experience preferred 2 years in a hospital, health plan, or related healthcare business entity preferred Experience serving Medicare, Medicaid, and Duals populationReporting and data analysis experience preferredUpward Health is proud to be an equal opportunity employer.
We are committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce.
This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position.
All individuals selected for a position will undergo a background check appropriate for the position's responsibilities.
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Last updated : 2024-07-23
